Provider Demographics
NPI:1215643796
Name:ZAYED, BASEL (LMHC)
Entity type:Individual
Prefix:
First Name:BASEL
Middle Name:
Last Name:ZAYED
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CENTRAL ST STE 220
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4816
Mailing Address - Country:US
Mailing Address - Phone:617-958-2492
Mailing Address - Fax:
Practice Address - Street 1:7 CENTRAL ST STE 220
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4816
Practice Address - Country:US
Practice Address - Phone:617-958-2492
Practice Address - Fax:617-958-2492
Is Sole Proprietor?:No
Enumeration Date:2023-01-27
Last Update Date:2023-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10000811101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health